Upload File

remaining human: using literature and cinema to teach … · cinema and literature are novel tools...

  • Home
  • Documents
  • Remaining Human: Using Literature and Cinema to Teach … · Cinema and literature are novel tools that can evoke emotions and promote reflective discussion about personal behavior,
1
Remaining Human: Using Literature and Cinema to Teach Professionalism Kate Peterson Stanley, MD Department of Pediatrics, University of Michigan Medical School Methods did Club Themes and Reflections Teaching Implications Future Clubs and Directions Acknowledgements The Investigating Student Learning (ISL) Program was funded by the University of Michigan Office of the Provost, the College of Engineering, and the Center for Research on Learning and Teaching (CRLT). Faculty club participants: Naomi Laventhal, MD, Rebecca Vartanian, MD and Gary Weiner, MD CRLT Advisor: Stephanie Kusano, Ph.D. Professionalism is a core competency of graduate medical education. Skills include strong communication abilities and sensitivity to diverse patient populations. Many programs lack well-defined professionalism curriculums. The intense demands of clinical training can result in an inability to treat the patient as a person. Cinema and literature are novel tools that can evoke emotions and promote reflective discussion about personal behavior, human interaction and cultural sensitivity. Engaged learning outcomes using these methods have not been widely studied. Objective: To determine whether a book/movie club will improve the following engaged student learning outcomes among physician learners: - Communication skills - Cultural sensitivity Background and Objective Intervention: Neonatology physician learners (n=8) and faculty (n=4) have participated in 5 of 6 book/movie clubs. Using the flipped classroom ideology, all participants reviewed the assigned book/movie prior to the event. Each club convened outside the hospital environment and consisted of a meal followed by a one hour discussion. Physician learners completed a pre and post questionnaire reflecting on various discussion topics. Assessment and Analysis: 1) Patient and Team Communication Skills of Physician Learners - Pre and post quantitative self evaluation based on the modified version of the American Board of Internal Medicine Patient Assessment Survey (Symons et al.) and the 360 Degree Evaluation of Residents’ Interpersonal and Communication Questionnaire (Joshi et al.) compared to a control peer group (n=15). -Pre and post quantitative evaluation by nursing staff (8-12 staff/learner) using the 360 Degree Evaluation of Residents’ Interpersonal and Communication Questionnaire (Joshi et al). 2) Cultural Sensitivity of Physician Learners - Pre and post quantitative self evaluation based on the Cultural Intelligence Scale (Van Dyne) compared to a control peer group (n=15) - Qualitative analysis of club reflective writings for common themes. Assumptions Vialula (Lou) tells Ben Stone to “Peel an onion, it’s got lots of layers.” What does this quote mean to you? People are lots of versions of themselves. All are true selves, but are exposed to their environment in different ways. I am a fellow, daughter, mother, wife, and friend. All these layers are myself, but require different attitudes and ways of behaving. Prejudices and Racism Characters act hatefully in some situations but kindly in others. What do these incidents say about people and human nature? I think it is human nature to pass judgment based on what we see and not the person inside. We see this happen every day and it’s become the “norm” unfortunately and I think it’s something we all must work on. Outcasts As physicians, can we avoid or refuse to treat a patient based on our beliefs, fears or risks to our own life? I don’t think it is right to refuse to treat a patient based on beliefs/race/etc. However, we do have to take care of these patients safely for them and for us. But it seems there should always be a way to do that. Integrity and Culture There were multiple opportunities for individuals to come forward and potentially prevent harm to future patients. How do you think the “culture” of a profession or institution influences our personal integrity? Ideally, integrity should trump culture. True integrity would cause you to ignore culture and do what is right. However, culture is often the most oppressing force. The Patient Perspective After viewing the movie and discussing Vivian’s experience, will you change your behavior with patients moving forward? It’s always good to have a reminder to re-commit yourself to provide good care, and to think about every interaction, big or small, as an opportunity to do better. Choose Kind Auggie’s English Teacher, Mr. Browne is known for his precepts – principles to live by. Reflecting back on this year’s club discussions, write your precept. - The book/movie club is an innovative non-conventional method of exploring both cultural intelligence and interpersonal communication skills. - To date, this project demonstrates that common literature and cinema can be used in graduate medical education despite the work demands of medical fellowship training. - Feedback from both faculty and physician learners has been very positive regarding the outside hospital setting, time demands, book/movie choices and themes and sense of comradery among the physician learner group. - Current plans are to continue the book/movie club as part of the University of Michigan Neonatology Fellowship professional development curriculum for the 2017-2018 year. Future Directions: -It is anticipated that post-club data collection and statistical analysis will be complete by June and August, 2017, respectively. -Final results will be shared with the Pediatric and Medical Education Community via publications and presentations at local and national levels.

Upload: others

Post on 06-Oct-2020

3 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: Remaining Human: Using Literature and Cinema to Teach … · Cinema and literature are novel tools that can evoke emotions and promote reflective discussion about personal behavior,

RemainingHuman:UsingLiteratureandCinematoTeachProfessionalism

KatePetersonStanley,MDDepartmentofPediatrics,UniversityofMichiganMedicalSchool

Methods

did

ClubThemesandReflections

TeachingImplications

FutureClubsandDirections

AcknowledgementsTheInvestigatingStudentLearning(ISL)ProgramwasfundedbytheUniversityofMichiganOfficeoftheProvost,theCollegeofEngineering,andtheCenterforResearchonLearningandTeaching(CRLT).Facultyclubparticipants:NaomiLaventhal,MD,RebeccaVartanian,MDandGaryWeiner,MDCRLTAdvisor:StephanieKusano,Ph.D.

Professionalismisacorecompetencyofgraduatemedicaleducation.Skillsincludestrongcommunicationabilitiesandsensitivitytodiversepatientpopulations.Manyprogramslackwell-definedprofessionalismcurriculums.Theintensedemandsofclinicaltrainingcanresultinaninabilitytotreatthepatientasaperson.

Cinemaandliteraturearenoveltoolsthatcanevokeemotionsandpromotereflectivediscussionaboutpersonalbehavior,humaninteractionandculturalsensitivity.Engagedlearningoutcomesusingthesemethodshavenotbeenwidelystudied.Objective: Todeterminewhetherabook/movieclubwillimprovethefollowingengagedstudentlearningoutcomesamongphysicianlearners:- Communicationskills- Culturalsensitivity

BackgroundandObjective

Intervention:Neonatologyphysicianlearners(n=8)andfaculty(n=4)have

participatedin5of6book/movieclubs.Usingtheflippedclassroomideology,allparticipantsreviewedtheassignedbook/moviepriortotheevent.Eachclubconvenedoutsidethehospitalenvironmentandconsistedofamealfollowedbyaonehourdiscussion.Physicianlearnerscompletedapreandpostquestionnairereflectingonvariousdiscussiontopics.AssessmentandAnalysis:1)PatientandTeamCommunicationSkillsofPhysicianLearners- PreandpostquantitativeselfevaluationbasedonthemodifiedversionoftheAmericanBoardofInternalMedicinePatientAssessmentSurvey(Symonsetal.)andthe360DegreeEvaluationofResidents’InterpersonalandCommunicationQuestionnaire(Joshietal.)comparedtoacontrolpeergroup(n=15).-Preandpostquantitativeevaluationbynursingstaff(8-12staff/learner)usingthe360DegreeEvaluationofResidents’InterpersonalandCommunicationQuestionnaire(Joshietal).2)CulturalSensitivityofPhysicianLearners- PreandpostquantitativeselfevaluationbasedontheCulturalIntelligenceScale(VanDyne)comparedtoacontrolpeergroup(n=15)- Qualitativeanalysisofclubreflectivewritingsforcommonthemes.

AssumptionsVialula(Lou)tellsBenStoneto“Peelanonion,it’sgotlotsoflayers.”Whatdoesthisquotemeantoyou?

Peoplearelotsofversionsofthemselves.Allaretrueselves,butareexposedtotheirenvironmentindifferentways.Iamafellow,daughter,mother,wife,andfriend.Alltheselayersaremyself,butrequiredifferentattitudesandwaysofbehaving.

PrejudicesandRacismCharactersacthatefullyinsomesituationsbutkindlyinothers.Whatdotheseincidentssayaboutpeopleandhumannature?

Ithinkitishumannaturetopassjudgmentbasedonwhatweseeandnotthepersoninside.Weseethishappeneverydayandit’sbecomethe“norm”unfortunatelyandIthinkit’ssomethingweallmustworkon.

OutcastsAsphysicians,canweavoidorrefusetotreatapatientbasedonourbeliefs,fearsorriskstoourownlife?

Idon’tthinkitisrighttorefusetotreatapatientbasedonbeliefs/race/etc.However,wedohavetotakecareofthesepatientssafelyforthemandforus.Butitseemsthereshouldalwaysbeawaytodothat.

IntegrityandCultureThereweremultipleopportunitiesforindividualstocomeforwardandpotentiallypreventharmtofuturepatients.Howdoyouthinkthe“culture”ofa professionorinstitutioninfluencesourpersonalintegrity?

Ideally,integrityshouldtrumpculture.Trueintegritywouldcauseyoutoignorecultureanddowhatisright.However,cultureisoftenthemostoppressingforce.

ThePatientPerspectiveAfterviewingthemovieanddiscussingVivian’sexperience,willyouchangeyourbehaviorwithpatientsmovingforward?

It’salwaysgoodtohavearemindertore-commityourselftoprovidegoodcare,andtothinkabouteveryinteraction,bigorsmall,asanopportunitytodobetter.

ChooseKindAuggie’sEnglishTeacher,Mr.Browneisknownforhisprecepts– principlestoliveby.Reflectingbackonthisyear’sclubdiscussions,writeyourprecept.

- Thebook/movieclubisaninnovativenon-conventionalmethodofexploringbothculturalintelligenceandinterpersonalcommunicationskills.

- Todate,thisprojectdemonstratesthatcommonliteratureandcinemacanbeusedingraduatemedicaleducationdespitetheworkdemandsofmedicalfellowship training.

- Feedbackfrombothfacultyandphysicianlearnershasbeenverypositiveregardingtheoutsidehospitalsetting,timedemands,book/moviechoicesandthemesandsenseofcomraderyamongthephysicianlearnergroup.

- Currentplansaretocontinuethebook/movieclubaspartoftheUniversityofMichiganNeonatologyFellowshipprofessionaldevelopmentcurriculumforthe2017-2018year.

FutureDirections:-Itisanticipatedthatpost-clubdatacollectionandstatisticalanalysiswillbecompletebyJuneandAugust,2017,respectively.-FinalresultswillbesharedwiththePediatricandMedicalEducationCommunityviapublicationsandpresentationsatlocalandnationallevels.

Evoke! Evolve! Issue 1

eVoke Digital First - RevSpring Inc

Evoke Massage Chair · Evoke Massage Chair 1. The evoke massage chair gives you an advanced massage on the neck and back using different techniques like …

Evoke Style Guide

Evoke Magazine

Mac Evoke Presentation Personal Peoject

White Paper - Evoke Technologies

heatherafox.weebly.comheatherafox.weebly.com/uploads/2/5/4/0/25401640/lit2000syllabu… · Web viewLIT 2000.007: Introduction to Literature. Reading about Reading: How We Evoke Meaning

EVOKE - ctdarchitecturaltiles.co.uk

Godrej Evoke Greater Noida

Evoke D2 V3-Euro

Evoke! Evolve! Issue 4

Evoke the Soul of Agile

Manuale Radio Cucina Pure Evoke 1s

HOSPITALITY SOLUTIONS - Evoke Telecom

Evoke final 2013 berkeley

Evoke Thakur

Evoke Enterprise

Cryptology in Cinema, Literature, and Music Team 6 Joseph Gamble and Lakhbir Singh

eVoke issue 3 Autumn 2013

Using your EVOKE-1 - Deskpro

SALES PLANS EVOKE

Crowdfunding - GlobalGiving Evoke Challenge

April 2014: Evoke

Evoke Media Marketing Portfolio

Evoke by Vogue Homes

World bank evoke

LITERATURE WORDFIRE - Kala Ghoda Association connection between literature and Hindi Cinema. Writers and popular scriptwriters discuss the deep and lasting relation between seminal

pure evoke mio_manuale Italiano

How to Evoke Global Change

Poetry Literature written with an imaginative awareness of experience that is expressed through meaning, sound, and rhythmic language choices that evoke

Evoke! Evolve! Issue 2

Abel - Violent Affect - Literature, Cinema, And Critique After Representation

EVOKE - concepttiles.co.uk

Evoke! Evolve! Issue 6